4630 Ridge Cliffe Dr - Inspection Form
Residential Sanitary Sewer Service
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Compliance Inspection
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Date~/ =_--l 1 r Time Pm Record Number !
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Name ryf Disk# Time Pm
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PID Number _
House Number Street Name
Alternative Mailing Address Phone
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Ownerl0ccupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
No foundation drain connection O Clear, water connections to Unable to push past O No one in
No roof drain connection sanitary sewer, feet O Access to service
O Service lateral defects lateral needed
Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary
O Sump pump properly piped sewer refused
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks _ Entered S. L at
Roots _
Poor Pipe Joints _
Mineral Deposits _
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6"Transition: Length of Service: U i f
Final Cleanout: l r V/n'
Notes
Number Discharged
Total Correctly Incorrectly Unknown
;f ~s n .a
Sump pumps - 1 p
f
Foundation drains
Roof drains
White Copy: Property OwI-Ier Yellow Copy: City of Eagan _ Pink Copy: SEH